SHADANA DAVIS (NPI# 1962845636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962845636 |
| Entity Type | Individual |
| Full Name | SHADANA DAVIS |
| Credential | PSY.D, LCSW |
| Practice Address |
928 Jaymor Rd Suite B-150 Southampton PA 18966-3826 |
| Practice Telephone | 2159478654 |
| Practice Fax Number | 2159387607 |
| Mailing Telephone | 2159478654 |
| Mailing Fax Number | 2159387607 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS018480 | PA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CW016131 | PA | Behavioral Health & Social Service Providers |
| Street Address |
928 JAYMOR RD SUITE B-150 |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689647059 | Samuel Paul Purpura Jr. | Internal Medicine | 928 Jaymor Rd, Ste A-100, Southampton, PA 18966 | 2006-02-08 |
| 1710364567 | Victoria Schultheis | Counselor | 928 Jaymor Rd, Southampton, PA 18966-3826 | 2015-04-30 |
| 1760727408 | Growth Opportunity Center | Community/Behavioral Health | 928 Jaymor Rd, B150, Southampton, PA 18966 | 2012-12-06 |
| 1477829844 | Growth Opportunity Center | Counselor | 928 Jaymor Rd, B150, Southampton, PA 18966 | 2012-03-29 |
| 1164733408 | Bucks Mont Psychotherapy LLC | Psychologist | 928 Jaymor Rd, Suite A-120, Southampton, PA 18966-3826 | 2010-07-01 |
| 1861714701 | Christina Marie King | Counselor | 928 Jaymor Rd, Southampton, PA 18966-3826 | 2010-02-19 |
| 1083880710 | Cichetti & Delligatti Orthodontics PC | Dentist | 928 Jaymor Rd, Suite 130a, Southampton, PA 18966-3826 | 2008-05-02 |
| 1902943178 | Hyung Yeo | Psychiatry & Neurology | 928 Jaymor Rd, Suite B150, Southampton, PA 18966-3826 | 2007-01-30 |
| 1811939663 | John Marcello Gentry | Psychologist | 928 Jaymor Rd, Suite B-150, Southampton, PA 18966-3826 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645759 | John Christopher Neill | Psychologist | 19 Deer Trail Rd, Southampton, NY 11968-1666 | 2020-06-30 |
| 1285124735 | Margaret Harak | Psychologist | 6 Geryk Ct, Southampton, MA 01073-9479 | 2018-05-10 |
| 1194925610 | Faye Lovrinic | Psychologist | 1111 Street Rd Ste 206, Southampton, PA 18966-4250 | 2007-07-23 |
| 1982755062 | Arathi R Rao | Psychologist | 688 Knowles Ave, Unit C, Southampton, PA 18966-4102 | 2007-01-15 |
| 1851468698 | Stuart P Kranson | Psychologist | 928 Jaymore Road, Suite A120, Southampton, PA 18966 | 2006-11-29 |
| 1730176025 | Nancy Acker | Psychologist | 1111 Street Rd Ste 101, Southampton, PA 18966-4250 | 2005-10-01 |
| 1689214231 | Brittany Kennedy | Psychologist | 928 Jaymor Rd Ste B-150, Southampton, PA 18966-3853 | 2020-01-12 |
| 1063059541 | Samantha Hiotakis LLC | Psychologist | 46 Main St, Southampton, NY 11968-4864 | 2019-12-04 |
| 1174030191 | Angelika Montalbano | Psychologist | 928 Jaymor Rd Ste B-150, Southampton, PA 18966-3853 | 2017-12-29 |
| 1417380593 | Andrea Paula Parent | Psychologist | 928 Jaymor Road, B 150, Southampton, PA 18966-3853 | 2013-08-13 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.